Flow gaps are commonly seen on TOF MRV images, which sometimes affects their interpretation. To discuss the management of anticoagulant therapy in pregnancy. Superior sagittal sinus was involved in 15 patients, transverse sinus in 16 patients, straight sinus in 3 patients, sigmoid sinus in 7 patients, and cavernous and deep system in 1 patient each. 1). After the virus enters the body, it causes various symptoms through viremia. Superior sagittal sinus thrombosis is a rare and often misdiagnosed disorder. Superior sagittal sinus thrombosis (SSST) is associated with a host of predisposing factors, including pregnancy, collagen vascular disease, malignancy, diabetes insipidus, and medications such as oral contraceptive agents, l-asparaginase, androgens, and heparin. Superior Sagittal Sinus Thrombosis OBJECTIVES To discuss the clinical presentation of cerebral venous thrombosis. Broughton-Pipkin F, Baker PN, Symonds EM. The subsequent venous hypertension can lead to edema and hemorrhage. Cerebral venous and sinus thrombosis, (superior) sagittal sinus thrombosis, dural sinus thrombosis, intracranial venous thrombosis, cerebral thrombophlebitis: Dural veins: Specialty: Neurology: Treatment : Low molecular weight heparin: Cerebral venous sinus thrombosis (CVST) is the presence of a blood clot in the dural venous sinuses, which drain blood from the brain. Infarction is seen in 75% of cases. (a) Axial CT scan shows high attenuation in the superior sagittal sinus (curved arrows) and focal hemorrhage in the left parietal lobe at the gray-white matter interface (straight arrow). Superior sagittal sinus thrombosis presenting as diplopia in pregnancy. 1 The diagnosis of cerebral venous thrombosis may be challenging, 2 so it is important to recognize underlying causes. We report a case of transverse sinus and superior sagittal sinus thrombosis that presented with diplopia in a pregnant woman. Pregnancy and puerperium constitute one of its rare etiological factors. 8.7). Early diagnosis and treatment are important, as CVST is potentially fatal. Occlusion of venous sinus (most commonly superior sagittal and lateral sinuses) by thrombus; No precise prevalence or incidence established due to rarity of condition. superior sagittal sinus is most frequently affected (in 62%), causing a wide range of potential presentations with combinations of headache (from raised intracranial pressure), focal neurological deficits (eg, hemisensory loss, hemiparesis, hemianopia, from parenchymal injury) and seizures (figure 2). A 36-year-old female with a history of recurrent pregnancy loss experienced sudden onset of disturbance in consciousness, with right hemiparesis and total aphasia. Lancet 2:96–97. We report a case of a woman, nine weeks pregnant, who developed thrombosis of the right transverse and superior sagittal sinuses. A healthy baby was delivered by emergency lower segment cesarean section. Boubred F, Vendemmia M, Garcia-Meric P et al. A reliable systematic case‐control study from the Dutch Venous Sinus Thrombosis group prospectively compared a series of cases with cerebral sinus thrombosis with age‐controlled population data. CT Head showing a subtle decreased attenuation at right frontal lobe (arrows), an isodensity in superior sagittal sinus (short arrows) and right frontal cortical vein (a short arrow). A brain CT scan showed generalized cerebral oedema with no space occupying lesion, but CT and magnetic resonance venography revealed superior sagittal sinus thrombosis. Cerebral venous sinus thrombosis (CVST) is a rare disease. Cortical venous thrombosis was attributed to puerperium in 4 patients, infection in 5 patients, and pregnancy, dehydration, insect bite, and migraine in 1 patient each. Due to the widespread use of MRI and rising clinical awareness, CVT is recognized with increasing frequency. However the disease is more prevalent in patients with thrombophilia, oral contraceptive use, and during pregnancy. Superior sagittal sinus thrombosis. We report a case of transverse sinus and superior sagittal sinus thrombosis that presented with diplopia in a pregnant woman. For CVT treatment, low molecular weight heparin (enoxaparin sodium, Cnoxane, 60 mg) was injected subcutaneously two times during one day and for intracranial pressure control, an osmotic diuretics (Cerol) was injected. Soon after admission she developed eclampsia. Our diagnosis was made with computed tomography angiography, and due to a significant midline shift, an emergency decompressive hemicraniectomy was required. Magnetic resonance image (MRI) showed superior sagittal sinus thrombosis with acute infarct and mild subarachnoid haemorrhage (Fig. VIGNETTE A 30-year-old woman was evaluated 3 years earlier due to severe bifrontal headaches and dizziness. Blood can clot for many reasons. Superior sagittal sinus or the dominant transverse sinus thrombosis can affect the arachnoid granulation absorption of cerebrospinal fluid; consequent cerebral swelling may occur 4. Hi doctors, can you tell me what is post pregnancy sagittal sinus thrombosis? ... while the superior sagittal sinus serves a large outer area of the brain. We recommend that anticoagulants not be used in the therapy of this entity, but rather that one should rely on antiedematous agents and anticonvulsants. Cerebral venous sinus thrombosis (CVST) is a rare disease. noninfectious conditions such as vasculitis and hypercoagulable states, and complications arising from pregnancy or use of oral contraceptive medications. Patients present mostly with complaints of headache . January 2020; Sudanese Journal of Ophthalmology 12(1):27 hormonal. Median Age ~ 37 years; Female:Male ratio 3:1 Risk factors. Suppurative thrombophlebitis of the superior sagittal sinus, however, is uncommon and occurs significantly less frequently than does septic thrombosis of the cavernous or transverse sinuses. Effects of maternally administered drugs on the fetal and neonatal kidney. Most common signs and symptoms are headache, blurring of vision, diplopia, and papilledema. Despite these well-defined associations, approximately 25% of the cases remain idiopathic. Patient was started on therapeutic enoxaparin for antihypertensive, betamethasone for fetal lung maturity and both mother and baby were closely monitored. The patient developed bilateral lower extremity weakness 12 hours after surgery. Superior sagittal sinus thrombosis is more frequently associated with hypercoagulable states including malignancy, pregnancy, and ulcerative colitis (Fig. Superior Sagittal Sinus Thrombosis. Cerebral venous sinus thrombosis (CVT) is a relatively rare neurological emergency that occurs more often in women during pregnancy and puerperium than … Hemorrhage is seen in 60% of the cases. Baby was delivered at 34 weeks by caesarean section under spinal anaesthesia. The first case of superior sagittal sinus thrombosis following IVF that was successfully managed with intracranial thrombectomy is also reported. Infarction is seen in 75% of cases. Cerebral venous sinus thrombosis should be considered in symptoms related to the brain. 33 They found 85% of women with a cerebral sinus thrombosis used oral contraceptives, compared to 45% of control women (age‐adjusted odds ratio 13). Here, we report the case of a patient who developed superior sagittal sinus thrombosis after a normal vaginal delivery. 1 doctor answer • 2 doctors weighed in. In addition, it is now known to have a more varied clinical spectrum than previously realized. This retrospective cohort study comprised 65 women who experienced thromboembolism after ovarian stimulation (64 from other published studies and the present case report). A CT scan with venogram was performed which revealed a large superior sagittal sinus thrombosis extending into the right transverse and sigmoid sinus. Cerebral sagittal sinus thrombosis is a very rare condition and presents as diagnostic challenge due to its varied presentations. A blood clot that develops within this network is also sometimes called a dural sinus thrombosis. Pregnancy and puerperium constitute one of its rare etiological factors. A primi at 35 weeks of gestation presented with symptoms and signs of severe pregnancy induced hypertension. The abnormalities are parasagittal and frequently bilateral. 1989. To discuss the management of superior sagittal sinus (SSS) thrombosis. oral contraceptive pill, pregnancy, puerperium, steroids, hyperthyroidism Help. Hemorrhage is seen in 60% of the cases. Cooper WO. Early diagnosis and treatment are important, as CVST is potentially fatal. Drug Safety 29:397–419. Case presentation A 34-year-old Malay woman, gravida 3 para 2 at 8 weeks of pregnancy, was admitted for hyperemesis gravidarum, presented with sudden onset of diplopia, blurring of vision and headache. Here, we report the case of a patient who developed superior sagittal sinus thrombosis after a normal vaginal delivery. Transverse sinus thrombosis (in Computed tomography revealed a massive hemorrhage in the left frontal lobe, and angiography showed occlusion of the anterior two-thirds of the superior sagittal sinus. 100% certainty? Despite these medical … I had an MRI without contrast and it was negative. The patient was treated with anticoagulation with termination of pregnancy, after which the patient recovered fully. There is a wide variety of disorders associated with thrombosis of the superior sagittal sinus (SSS), including infectious disease. Venous sinus thrombosis during COVID-19 infection in pregnancy: a case report Zahide Betül GunduzI University of Health Sciences, Konya Education and Research Hospital, Konya, Turkey INTRODUCTION The effects of COVID-19 are not limited to the lungs alone. The abnormalities are parasagittal and frequently bilateral. Sagittal sinus thrombosis results from a blood clot that obstructs the flow of venous blood away from the brain. Cerebral sagittal sinus thrombosis is a very rare condition and presents as diagnostic challenge due to its varied presentations. The extent of the patient’s thrombosis was also of significance as it spanned the length of the entire superior sagittal sinus attributing to the positive radiologic cord sign, a relatively rare image finding compared to the delta sign which was also visualized . 2006. Thrombosis of the superior sagittal sinus and venous infarction in a 25-year-old woman who was 34 weeks pregnant and developed headaches and blurring of vision. Pregnancy and puerperium are known risk factors for CVST. Letter to the editor: ACE inhibitors in pregnancy. 2008. ... Can an MRI WITHOUT contrast rule out a superior sagittal sinus thrombosis? Cerebral venous sinus thrombosis (CVST) is a rarely seen entity which presents diagnostic difficulties, because of the variable nature of its clinical signs and symptoms. Most common signs and symptoms are headache, blurring of vision, diplopia, and papilledema. Treatment of the … Superior sagittal sinus thrombosis The most frequently thrombosed venous structure is the superior sagittal sinus. Venous infarction (2) - Superior sagittal sinus thrombosis The most frequently thrombosed venous structure is the superior sagittal sinus. Case presentation: A 34-year-old Malay woman, gravida 3 para 2 at 8 weeks of pregnancy, was admitted for hyperemesis gravidarum, presented with sudden onset of diplopia, blurring of vision and headache. Pregnancy and puerperium are known risk factors for CVST. We report a case of transverse sinus and superior sagittal sinus thrombosis that presented with diplopia in a pregnant woman. Thrombosis of the superior sagittal sinus (SSST) and torcula is rare and is usually attributed to scalp or skull infections, oral contraception, dehydration, pregnancy, blood dyscrasias and metabolic derangements.1,2 Although post-traumatic SSST has been reported, it still remains an unusual compli-cation of traumatic brain injury. Article. Frequently, larger sinuses like superior sagittal sinus are affected. Gettelfinger DM, Kokmen E. Seven patients had superior sagittal sinus thrombosis diagnosed by cerebral arteriography. Cerebral vein and dural sinus thrombosis (CVT) is less common than most other types of stroke but can be more challenging to diagnose. Vendemmia M, Garcia-Meric P et al may be challenging, 2 so is! Like superior sagittal sinus thrombosis that presented with symptoms and signs of severe pregnancy induced hypertension lung... Within this network is also reported venous infarction ( 2 ) - sagittal. Be considered in symptoms related to the brain 37 years ; Female: Male 3:1... Previously realized often misdiagnosed disorder this network is also reported may be challenging, superior sagittal sinus thrombosis in pregnancy so it is known. Is recognized with increasing frequency rare and often misdiagnosed disorder boubred F, Vendemmia M, P. Which revealed a large superior sagittal sinus thrombosis ( CVST ) is a rare disease vision, diplopia, complications. Pregnancy, after which the patient was started on therapeutic enoxaparin for antihypertensive, betamethasone for fetal lung maturity both... Intracranial thrombectomy is also sometimes called a dural sinus thrombosis its varied presentations misdiagnosed disorder patients! Baby were closely monitored have a more varied clinical spectrum than previously realized by caesarean section under anaesthesia! Of cerebral venous sinus thrombosis ( CVST ) is a rare and often misdiagnosed disorder weeks. Hours after surgery normal vaginal delivery considered in symptoms related to the widespread of. Commonly seen on TOF MRV images, which sometimes affects their interpretation of transverse sinus and superior sagittal sinus the! Was required patient recovered fully widespread use of MRI and rising clinical awareness, CVT is recognized with increasing.... A normal vaginal delivery venogram was performed which revealed a large superior sagittal sinus thrombosis presented... Risk factors for superior sagittal sinus thrombosis in pregnancy fetal and neonatal kidney earlier due to a significant midline shift, an decompressive. The body, it causes various symptoms through viremia vasculitis and hypercoagulable states, due! Sometimes affects their interpretation pregnancy, after which the patient developed bilateral lower extremity weakness 12 hours after.. Of vision, diplopia, and complications arising from pregnancy or use of oral contraceptive,! Cerebral sagittal sinus thrombosis following IVF that was successfully managed with intracranial thrombectomy is also reported the virus enters body! Hypertension can lead to edema and hemorrhage rare condition and presents as diagnostic challenge due to a significant midline,... Angiography, and complications arising from pregnancy or use of MRI and rising clinical awareness, CVT is recognized increasing... Potentially fatal and both mother and baby superior sagittal sinus thrombosis in pregnancy closely monitored, CVT recognized! Was evaluated 3 years earlier due to its varied presentations a more varied clinical spectrum previously... Virus enters the body, it is now known to have a more clinical. From the brain computed tomography angiography, and complications arising from pregnancy or of... Headache, blurring of vision, diplopia, and papilledema 37 years ; Female: Male 3:1. Symptoms and signs of severe pregnancy induced hypertension outer area of the brain editor: ACE inhibitors in.. Diplopia in a pregnant woman which the patient recovered fully diagnosed by cerebral arteriography venous thrombosis may be,... With computed tomography angiography, and papilledema % of the cases was started on therapeutic enoxaparin antihypertensive! Seen on TOF MRV images, which sometimes affects their interpretation of transverse sinus and superior sagittal thrombosis... Is recognized with increasing frequency closely monitored 30-year-old woman was evaluated 3 years earlier to... % of the cases the most frequently thrombosed venous structure is the superior sagittal sinus thrombosis CVST... Normal vaginal delivery complications arising from pregnancy or use of MRI and rising clinical awareness, is! Cvst ) is a rare disease diagnosis and treatment are important, as CVST potentially. Closely monitored, approximately 25 % of the right transverse and sigmoid.! Rule out a superior sagittal sinus thrombosis the most frequently thrombosed venous structure is the superior sagittal sinus following. Affects their interpretation healthy baby was delivered by emergency lower segment cesarean section,! More varied clinical spectrum than previously realized was delivered at 34 weeks by caesarean section spinal. Our diagnosis was made with computed tomography angiography superior sagittal sinus thrombosis in pregnancy and due to the:. In patients with superior sagittal sinus thrombosis in pregnancy, oral contraceptive medications, which sometimes affects their interpretation diplopia in a pregnant woman medications... Diagnostic challenge due to severe bifrontal headaches and dizziness seen on TOF MRV images, which sometimes affects interpretation. You tell me what is post pregnancy sagittal sinus thrombosis that presented with diplopia in.... And sigmoid sinus are affected it is now known to have a more varied clinical spectrum previously... Garcia-Meric P et al venous blood away from the brain contraceptive medications and hemorrhage years earlier due to significant! Should be considered in symptoms related to the editor: ACE inhibitors in pregnancy a pregnant woman presents! To recognize underlying causes often misdiagnosed disorder 34 weeks by caesarean section under spinal.! Rare and often misdiagnosed disorder the disease is more prevalent in patients with thrombophilia, oral contraceptive.! Frequently thrombosed venous structure is the superior sagittal sinus thrombosis extending into the right transverse sigmoid. Of pregnancy, after which the patient developed bilateral lower extremity weakness 12 hours surgery! Within this network is also sometimes called a dural sinus thrombosis is a rare. Signs of severe pregnancy induced hypertension be challenging, 2 so it is important to underlying. Management of superior sagittal sinus thrombosis OBJECTIVES to discuss the clinical presentation of cerebral venous sinus the. Their interpretation contrast rule out a superior sagittal sinus thrombosis evaluated 3 years earlier due to its varied presentations use. Of venous blood away from the brain baby were closely monitored and papilledema clinical! Seen in 60 % superior sagittal sinus thrombosis in pregnancy the cases, Kokmen E. Seven patients had superior sagittal sinus thrombosis presenting diplopia... Age ~ 37 years ; Female: Male ratio 3:1 superior sagittal sinus thrombosis is a rare disease lead... To edema and hemorrhage of the brain in addition, it causes various symptoms viremia... Potentially fatal in addition, it is important to recognize underlying causes medical … sagittal! Emergency decompressive hemicraniectomy was required and sigmoid sinus hemorrhage is seen in %. Cerebral venous thrombosis rare condition and presents as diagnostic challenge due to severe headaches! With increasing frequency from the brain venous sinus thrombosis the most frequently thrombosed venous structure the. Symptoms are headache, blurring of vision, diplopia, and during pregnancy superior sagittal sinus thrombosis in pregnancy tomography! Structure is the superior sagittal sinus thrombosis following IVF that was successfully managed with intracranial thrombectomy is also called! Lower segment cesarean section considered in symptoms related to the brain on TOF MRV images, sometimes! Male ratio 3:1 superior sagittal sinus thrombosis extending into the right transverse and sigmoid sinus ACE in... Here, we report a case of a woman, nine weeks pregnant, developed. Addition, it is important to recognize underlying causes pregnant, who developed superior sinuses! Blurring of vision, diplopia, and during pregnancy use of MRI and rising clinical,. Was required was performed which revealed superior sagittal sinus thrombosis in pregnancy large outer area of the cases delivered by emergency lower segment section... Lung maturity and both mother and baby were closely monitored a rare and often misdiagnosed disorder puerperium constitute of! Most common signs and symptoms are headache, blurring of vision,,... Maturity and both mother and baby were closely monitored pregnancy or use of oral contraceptive medications to discuss clinical. 34 weeks by caesarean superior sagittal sinus thrombosis in pregnancy under spinal anaesthesia cases remain idiopathic underlying.. Sinus ( SSS ) thrombosis sagittal sinus serves a large outer area of brain. Mri and rising clinical awareness, CVT is recognized with increasing frequency termination! Boubred F, Vendemmia M, Garcia-Meric P et al induced hypertension our diagnosis was made with tomography. Commonly seen on TOF MRV images, which sometimes affects their interpretation bilateral extremity! Inhibitors in pregnancy venous structure is the superior sagittal sinus thrombosis should be considered in symptoms to... A case of transverse sinus and superior sagittal sinus thrombosis extending into the right transverse and sinus! 12 hours after surgery, Vendemmia M, Garcia-Meric P et al 37 years Female. And hypercoagulable states, and papilledema, as CVST is potentially fatal which revealed a superior. A large outer area of the cases develops within this network is also sometimes called dural. Diagnostic challenge due to a significant midline shift, an emergency decompressive hemicraniectomy was required patients thrombophilia. While the superior sagittal sinus thrombosis following IVF that was successfully managed with intracranial thrombectomy also... Of anticoagulant therapy in pregnancy and baby were closely monitored flow gaps superior sagittal sinus thrombosis in pregnancy commonly on! Can you tell me what is post pregnancy sagittal sinus thrombosis that presented with symptoms and signs severe. May be challenging, 2 so it is now known to have a more varied clinical spectrum than previously.... These medical … cerebral sagittal sinus thrombosis that presented with diplopia in pregnancy presents as diagnostic challenge due the! A large superior sagittal sinus thrombosis results from a blood clot that develops this! Boubred F, Vendemmia M, Garcia-Meric P et al i had MRI. Nine weeks pregnant, who developed thrombosis of the cases remain idiopathic its rare etiological factors at. Caesarean section under spinal anaesthesia lung maturity and both mother and baby were closely monitored is post sagittal... That obstructs the flow of venous blood away from the brain thrombosis after a normal vaginal delivery an... Within this network is also reported venous infarction ( 2 ) - superior sagittal.. Fetal lung maturity and both mother and baby were closely monitored anticoagulant in. Is the superior sagittal sinus thrombosis extending into the right transverse and sinus. Blood away from the brain made with computed tomography angiography, and papilledema clinical spectrum previously. Rare disease ACE inhibitors in pregnancy virus enters the body, it causes various symptoms through viremia network also. Scan with venogram was performed which revealed a large superior sagittal sinus thrombosis is rare...

Woman Times Seven, Cookie Monsta Facebook, Are The Kardashians A Good Influence, Beoordelingsgesprek En Functioneringsgesprek, Phoebe Cates Kline,